Basically, the biggest misconceptions about MK-677 is that many users perceive it as a SARM and other perceive it as an HGH "replacement"
Well, it is important to note that MK-677 is not the first nor the second.
It is neither first nor the second.
Ibutamoren:
* binds to the ghrelin receptor GHSR-1a
* located in the hypothalamus and pituitary gland
* stimulates the release of growth hormone (GH)
* secondarily increases IGF-1 (insulin-like growth factor 1)
So ibutamoren does not stimulate GH directly — it works through the ghrelin system and is fully dependent on its functionality.
Why the effectiveness of ibutamoren can vary
The answer lies in genetic differences within the ghrelin system. This system is not structured or functioning identically in all individuals.
Below are the key polymorphisms that can negatively affect the response to ibutamoren.
1 Ghrelin receptor polymorphisms — GHSR
Gene: GHSR
Encodes: the ghrelin receptor (GHSR-1a)
#Potential issues:
* reduced receptor affinity for the agonist
* decreased receptor density
* impaired conformational change after ligand binding
# Known SNPs:
* rs509035
* rs2922126
These variants are associated with:
* a reduced GH response to ghrelin
* weaker pituitary activation
* variable responsiveness to ghrelin mimetics

If the receptor responds poorly, ibutamoren simply cannot fully activate the system
2 Ghrelin gene polymorphisms — GHRL
Gene: GHRL
Encodes: preproghrelin (ghrelin precursor)
# Key polymorphism:
Leu72Met (rs696217)
Associated with:
* altered endogenous ghrelin secretion
* disrupted appetite and GH regulation
* reduced system sensitivity to agonists

Even in the presence of an external agonist (ibutamoren), **baseline regulation of the system may be impaired**.
3 Impaired post-receptor signal transmission
Even if:
* ibutamoren binds to the receptor
* the receptor is activated
the signal may fail to reach the cell
Possible causes:
* polymorphisms in G proteins (Gαq / Gαi)
* disruptions in intracellular signaling cascades
* reduced pituitary sensitivity to stimulation
4 Clinical outcome
Ibutamoren is not for everyone, because:
* it is entirely dependent on the ghrelin system
* genetic variations can:
* reduce receptor sensitivity
* decrease receptor number
* impair signal transmission

In such cases:
* GH rises weakly or not at all
* IGF-1 changes minimally
* subjectively, the compound “does not work”
Ibutamoren is a powerful ghrelin mimetic, but it is only effective when the ghrelin system is genetically and functionally intact
In the presence of unfavorable polymorphisms, even a well-chosen compound may produce minimal effects.